Reducing depression in stroke survivors and their informal caregivers: A randomized clinical trial of a web-based intervention.

Abstract Background: Stroke is the leading cause of global morbidity and a major contributor to disability. According to the National Stroke Association, as many as 9 out of 10 stroke survivors have some degree of paralysis immediately after the stroke. Aim is to evaluate the level to which the bilateral lower limb training compared to unilateral alone, reinforces the lower limb functional recovery in the subjects with sub-acute stroke.Methods: The participants (n=40) with subacute stroke will be included in assessor blinded, randomized clinical trial. Participants will be categorized into 2 groups after performing baseline assessments and equal randomization. The participants in Group A will receive only training to the affected side, and those in the Group B will receive bilateral training. We will be evaluating the improvement in lower limb function by balance and walking along with gait parameters.Discussion: Findings of the study will provide further insight into the effectiveness of bilateral training over unilateral in post stroke survivors. If this study is proved to be effective it will improve the balance and gait impairments in post stroke patients.The clinical trial registry-India(CTRI) registration number for this trial is CTRI/2021/05/033621.

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Web-Based Tailored Messaging to Increase Vaccination: A Randomized Clinical Trial

PEDIATRICS ◽

10.1542/peds.2020-0669 ◽

2020 ◽

Vol 146 (5) ◽

pp. e20200669

Author(s):

Jason M. Glanz ◽

Nicole M. Wagner ◽

Komal J. Narwaney ◽

Jennifer Pyrzanowski ◽

Bethany M. Kwan ◽

...

Keyword(s):

Clinical Trial ◽

Randomized Clinical Trial ◽

Web Based

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Narrative Group Intervention to reconstruct Meaning of Life among Stroke Survivors: A Randomized Clinical Trial Study

Neuropsychiatry ◽

10.4172/neuropsychiatry.1000450 ◽

2018 ◽

Vol 08 (04) ◽

Cited By ~ 2

Author(s):

Esther OW Chow

Keyword(s):

Clinical Trial ◽

Randomized Clinical Trial ◽

Group Intervention ◽

Meaning Of Life ◽

Stroke Survivors

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Abstract TP398: Comparable Internet Access And Usage Among Stroke Survivors And Informal Caregivers

Stroke ◽

10.1161/str.51.suppl_1.tp398 ◽

2020 ◽

Vol 51 (Suppl_1) ◽

Author(s):

Imama A Naqvi ◽

Tina A Varughese ◽

Andrea Ancer Leal ◽

Yazan Bittar ◽

Norma Hunter ◽

...

Keyword(s):

Support Groups ◽

Informal Caregivers ◽

Internet Access ◽

Cost Effective ◽

Stroke Recovery ◽

Stroke Survivors ◽

Stroke Risk Factor ◽

Web Based ◽

Risk Factor Management ◽

Stroke Support Groups

Background and Purpose: Web-based interventions have shown promise as a cost-effective and convenient delivery platform for supporting chronic disease self-management. However, studies suggest that web-based interventions are not widely available. The purpose of this study was to describe access and usage of web-based electronics in a cohort of stroke survivors (SS) and their informal caregivers (IC). Methods: A 14-question electronic usage survey was created with input from experts in neurology, nursing and bioinformatics. Two urban sites recruited participants from inpatient stroke centers, outpatient stroke clinics and stroke support groups. Surveys were completed in person or via telephone. Descriptive data were generated to evaluate internet access and usage. Results: Data were analyzed from 251 SS and 127 IC. Participants were primarily recruited from outpatient settings, with inpatient recruits constituting 15%. Internet users were on average 8 years younger than non-users in both groups. African Americans constituted a third in each group and 1 out of 8 were Hispanic. Compared to an estimate that 89% of American adults have internet access, 200 (81%) SS (p < .001) and 123 (97%) IC (p = .005) had internet access. Conclusions: In our diverse cohort of relatively young SS, we found IC had more internet access than SS, and more so than the general population. This study is an important step towards delineating the potential use of web-based environments as a platform for interventions to improve stroke risk factor management and stroke recovery.

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